Organization Active NPI

Waterfront Institute for Spine and Joint Rehabilitation

  • General Practice Physician
  • Edgewater, NJ
National Provider Identifier
1700944147
Registry record updated Oct 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WATERFRONT INSTITUTE FOR SPINE AND JOINT REHABILITATION
Practice address
115 River Rd Ste 901
Edgewater, NJ 07020-1080
Phone
(201) 840-1980
Fax
(201) 840-1987
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David P Podell, D. C.NPI 1407963887
Title
President
Phone
(201) 840-1980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

115 River Rd Ste 901
Edgewater, NJ 07020-1080

Mailing address

115 River Rd Ste 901
Edgewater, NJ 07020-1080
Phone (201) 840-1980

National Provider Directory

National Provider Directory

Locations

115 River Rd
Ste 1032
Edgewater, NJ 07020
Phone (201) 840-1980

115 River Rd
Ste 901
Edgewater, NJ 07020
Phone (201) 804-1980

115 River Rd
#1032
Edgewater, NJ 07020

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382832000000",
    "number": "1700944147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 RIVER RD STE 901",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201080",
            "telephone_number": "201-840-1980",
            "fax_number": "201-840-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 RIVER RD STE 901",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201080",
            "telephone_number": "201-840-1980",
            "fax_number": "201-840-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFRONT INSTITUTE FOR SPINE AND JOINT REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-10-27",
        "status": "A",
        "authorized_official_last_name": "PODELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-840-1980",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.